Pharmacy

Our focus on workers’ compensation has led us to develop specific solutions to simplify pharmacy claims management for our clients. We differentiate ourselves by combining advanced technology, proactive clinical management and exceptional customer service. Our unique approach to pharmacy benefit management, 1 Click Pharmacy™, automates and consolidates processes while allowing our clients to customize programs based on their needs.

Our program is focused on driving network penetration and managing drug spend through our optimal pharmacy program management with the following set of solutions:

• Access to nationwide network of retail pharmacies
• Customizable first fill program and formulary
• Claimant centric adjudication platform
• Streamlined prior authorization process
• Out of network bill management
• In-house mail service pharmacy
• Proactive clinical programs
• Accurate electronic billing
• Business intelligence and reporting
• Team approach to implementation and program management
• Secure online claims management tool, myMatrixx 360°

Our program will increase network compliance and assist with returning employees back to work in an efficient and clinically appropriate manner. The end result for our clients is lower costs on pharmacy and an increase to your bottom line.